Individual
JOEL KENTON NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
408 MAIN ST, WEST LIBERTY, KY 41472-1014
(606) 743-4111
(606) 743-2018
Mailing address
321 RIVERSIDE DR, WEST LIBERTY, KY 41472-1029
(606) 743-2554
(606) 743-2018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1035DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068235
BLUECROSSBLUESHIELD
KY
01
—
3859
CHA
KY
05
—
77010353
—
KY
Enumeration date
02/12/2007
Last updated
08/01/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us